Ultimate Automotive Locksmiths Service Booking Form
Please complete the below fields and send back ASAP to help speed up our service to you
Business or Customers Name
A. The suburb the vehicle will be located
B. If you are attending our shop please type "SHOP"
NON REMOTE ( basic key no remote)
REMOTE key (turn metal blade in lock to start remote to unlock door)
TWIST PROX (plastic FOB key in dash or steering column turn to start press remote to open door)
SLOT KEY (put key slot in dash press to start ,press remote to open door)
PROXIMITY (key in pocket push to start pull handle or press remote to open door)
Please Choose from the drop down menu
Date Preferred for Service to be Provided
please tick the box that most suits the problem you are having
Keys Locked in Car
Lost Key (no working keys)
Key Won't Turn in the Ignition Lock
Key Wont Turn in the Door or Boot Lock
Key Turns but will not start the car
Extra Information if Required
Please include a brief description of the work required
Please fill out below if you require an EXTRA, SPARE or HAVE LOST ALL KEYS
"Remote Keys" (press button on the key to unlock the door)
If you require new REMOTE keys please tick a box
"Non Remote Keys" (manual turn in the door lock only)
If you require new" NON REMOTE" keys please tick a box
Visa / MasterCard
Account (approved Trade Customers)
please advise if payment is to be arranged by a 3rd party
Pictures if Required
Please attach pictures from your computer or smartphone's gallery that will assist in your request.
I hereby Authorise a Representative of Ultimate Locksmiths to
(1)gain entry and Reproduce keys if Required.
(2)And/or carry out repairs as discussed to the Above vehicle and agree that I am
(a) the registered owner
(b) an authorised representative on behalf of the registered owner.
I agree the vehicle has No working keys and is unable to be inspected for any Electronic or Mechanical Faults or defects prior to the keys being replaced.
V.I.N Number (if available)
Found on the cars compliance plate or Rego/Insurance papers ect
17 letters and Numbers
Send me a copy of my responses
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